NOTICE OF DISHONORED CHECK

DATE _________________________________________

NAME OF ISSUER _________________________________________

STREET ADDRESS _________________________________________

CITY AND STATE _________________________________________

You are according to law hereby notified that a check or instrument numbered ___________ and dated _________________________________________ 20___________ , drawn on _______________________________________ (bank or other financial institution) of _______________________________________ , in the amount of _______________ has been returned unpaid with the notation that the payment has been refused because of rule. Within thirty (30) days from the mailing of this notice, you must pay or tender to _______________________________________

                                          (holder)

at _______________________________________________________________________ sufficient money to pay the check

(address of holder)

draft or instrument in full. If payment of the above amount is not made within thirty (30) days of the mailing of this notice of dishonor, you may be liable under § 6-42-3, in addition to the amount of the check, draft, or other instrument, and a collection fee of twenty-five dollars ($25.00), for an amount of up to three (3) times the amount of the check, draft, or other instrument, but in no case less than two hundred dollars ($200) and not more than one thousand dollars ($1,000).

_______________________________________
(signature of holder)

Terms Used In Rhode Island General Laws 6-42-2

• Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.

History of Section.
P.L. 1988, ch. 93, § 1; P.L. 2003, ch. 211, § 1; P.L. 2003, ch. 228, § 1; P.L. 2014, ch. 528, § 29.